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IPAP > IDz Block 3 Cram > Flashcards

IDz Block 3 Cram Flashcards

1
Q

What happens during the prodromal period of rabies infection?

What occurs during the acute neurological period?

What finding during the neurological period is pathgnomonic

A

Virus enters CNS
Pain/paresthesia= pathognomonic Dx

Furious rabies
Paralytic rabies

Hydrophobia
Aerophobia

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2
Q

What is the passive immunization for rabies Tx

How often is rabies booster recommended?

A

HRIG 20IU/kg in gluteus away from bite

CDC- 2yrs
WHO- 1yr for oversea operators

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3
Q

What may be the first sign of septic arthritis in PTs w/ RA?

What are the two types of osteomyelitis

A

Septic bursitis

Acute/Chronic
Acute- w/in 2wks bacteria deprive bone of blood, causing necrosis

Chronic- repeat infections and dec blood supply prevent ABX reaching site

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4
Q

What ABX is used for PTs w/ osteomyelitis after nail punctures through shoes?

Define Rickettsiae orgnaism

A

Cipro

Between bacteria/virus, obligate intracellular Gram-neg coccobacilli

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5
Q

What ABX is used for PTs w/ osteomyelitis after nail punctures through shoes?

A

Cipro

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6
Q

Since Rickettsiae don’t stain well w/ gram stain, how are they stained for identification?

Rickettsiae are usually transmitted to humans by arthropods except for ?

A

Red w/ Giemsa

Q fever

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7
Q

Rickettsial Dzs have ? commonalities?

Different types of Rickettsial Dzs

A 
Dx w/ serology/PCR
Rash
Zoonotic
Involve endothelial lining
Tx w/ Doxy
Brill Zinsser
Louse borne
Murine Typhus
RMSF
Q-fever
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8
Q

Louse Borne Typhus is caused by ? and transmitted by ?

This form is becoming resistant to Doxy in Thailand, what med is used now?

A

Caused- R Prowazekii
Carried- P Humanus

Azithromycin

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9
Q

How does Louse Borne Typhus present?

What is the sequence of the rash progression?

A

Intractable HA
Rash from trunk to extremities (opposite of RMSF), spares face palms soles

Macules Maculopapules Petechiae

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10
Q

? is a relapsing louse borne typhus

How does it present

A

Brill Zinsser

Fever Transient rash HOTN

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11
Q

M Typhus is AKA ?

What causes this strain?

What is it’s carrier?

A

Endemic/Flea borne typhus

R Typhi

Rat flea

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12
Q

What is the biggest differential between Murin and Louse borne typhus?

What causes RMSF?

What is it’s carrier?

A

Brill Zinsser

R Rickettsii

Wood/dog ticks

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13
Q

What is the day to day progression of a Rickettsial Dz

A

1-2: abrupt high fever/HA

2-4: rash on wrist/ankle, spreads centrally

5-7: high fever, rash become petechial involving palms/soles

7-9: digit necrosis, death AMS

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14
Q

What will lab results of Rickettsial Dz show?

How is it Tx?

A

HypoNa
Inc transaminase
Thrombocytopenia

Doxy, best if started <5 days of Sxs

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15
Q

What causes Q-fever

This has been re-classified as a ? microbe

A

C Burnetti

Proteobacteria

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16
Q

What is the mainstay of Dx Rickettsial Dzs

What causes Lyme Dz

What is it’s carrier?

A

Serology cross reactivity

Spirochete- B burdorgeri

Ixodes- deer tick

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17
Q

What is the characteristic PE finding of Lyme Dz

What are the S/Sxs of early disseminated Lyme dz

Lyme Dz can cause ? manifestations of cranioneuropathy

A

Erythema Migrans

Multiple EMs
Meningismus= eseptic meningitis
Carditis- AV blocks

CN7, Bells

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18
Q

If Lyme Dz PT develops late dz arthritis, how does it start out

What joints are most to least likely affected

Most PTs exhibit these Sxs within ?mon of Erythema Migrans and resolve w/in ?

A

Migratory polyarticular process

Knee Ankle Wrist

6mon
10yrs

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19
Q

If Lyme Dz PT develops late dz arthritis, how does it start out

What joints are most to least likely affected

Most PTs exhibit these Sxs within ?mon of Erythema Migrans and resolve w/in ?

A

Migratory polyarticular process

Knee Ankle Wrist

6mon
10yrs

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20
Q

What are 3 possible long term outcomes that can arise from late Lyme Dz arthritis

If PT has Lyme and is pregnant, what meds are not used?

How should these PTs be educated?

A

Meningoencephalitis
Fibromyalgia
Chronic fatigue
Chronic neuropathy

Doxy
Tetracyclines

No birth defect, risk of still birth

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21
Q

How is Lyme Dz Tx

A

Bite w/ engorged tick: Doxy
Arthritis: Doxy
Palsy: Doxy

Tick, non-endemic: no Tx

Erythema Migrans: Doxy/Amox
Carditis: Doxy/Ceftriax

Meningitis: Ceftriax

Pregnant: Amoxicillin

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22
Q

How is Lyme Dz Tx

A

Bite w/ engorged tick: Doxy
Arthritis: Doxy
Palsy: Doxy

Tick, non-endemic: no Tx

Erythema Migrans: Doxy/Amox
Carditis: Doxy/Ceftriax

Meningitis: Ceftriax

Pregnant: Amoxicillin

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23
Q

How is encephalitis Dx

What sample is essential for Dx

A

Head CT w/ and w/out contrast but before LP

CSF

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24
Q

Where does HSV lie dormant prior to causing HSV encephalitis

How does the virus reach the CNS

This form of latent HSV is not associated w/ ?

A

Trigeminal ganglia

Olfactory tracts

Cold sores

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25
Q

Where does HSV lie dormant prior to causing HSV encephalitis

How does the virus reach the CNS

A

Trigeminal ganglia

Olfactory tracts

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26
Q

What are the subacute form of HSV Encephalitis

This can also produce ? inconvenient issue?

A

Anterior opercular syndrome- benign recurrent meningitis, loss of facial/chewing muscles

HSV-1: brainstem encephalitis
HSV-2: encephalitis induced myelitis

Global aphasia

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27
Q

How is encephalitis Dx

How is it Tx

A

PCR
CT- low density lesions in temporal lobes on day 3-4

Acyclovir

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28
Q

Majority of Arbovirus encephalitis is ? type

How does Arbovirus encephalitis present differently?

What will be seen on labs?

A

West Nile

Dys/pyuria
Seizures
Movement d/o

Leukocytosis
EEG changes

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29
Q

Majority of Arbovirus encephalitis is ? type

How does Arbovirus encephalitis present differently?

A

West Nile

Dys/pyuria
Seizures
Movement d/o

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30
Q

How does West Nile Encephalopathy present?

How is it Dx

A

Extreme lethargy
Flaccid paraylsis

Leukpenia and serology

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31
Q

What are the 3 major pathways meningitis establishes an infection?

What 3 microbes cause bacterial meningitis

What microbe causes meningitis in adults and kids?

A

Bloodstream
Retrograde neuron pathway
Direct spread

H Influenza
N Meningitidis
S Pneumoniae

S Pneumoniae

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32
Q

What meningitis triad presents in most PTs

What do PTs present w/ if there is cerebellar dysfunction

A

Fever
AMS
Nuchal rigidity

Lethargy
Confusion
Coma

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33
Q

What are the two PE tests for meningitis

How do geriatric PTs w/ meningitis present differently

What is a subtle Sx of meningeal infection that may be seen?

A

Kernig
Brudzinski

Lethargic, no meningeal Sxs

Neutropenia

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34
Q

What are the two PE tests for meningitis

A

Kernig

Brudzinski

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35
Q

How is Step Pneumo meningitis Tx

What vaccine prevents this?

A

Cefotax/Ceftriax + Vanc + Dexameth

PCV 13

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36
Q

What is the MC causes of meningitis in neonates

How is Step Pneumo meningitis Tx

What vaccine prevents this?

A

GBS
E Coli
Listeria monocytogenes

Cefotax/Ceftriax + Vanc + Dexameth

PCV 13

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37
Q

What type of microbe is N Meningitidis

What presenting finding does it have and puts PTs at risk for ?

What PT population is more susceptible to being infected?

A

Gram neg diplococcus

Petechial rash
Amputations

Asplenic

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38
Q

How many serogroups of N Meningitidis are there?

Which one is more common in the US than out of it

How are they Tx

A

A B C W X Y

B

Cefotax or Ceftriax + Vanc + Dexameth

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39
Q

What is the criteria for close contact of N Meningitidis

What meds are used for post-exposure prophylaxis

A

> 8hrs of contact
<3ft away
Direct PO secretion exposure
W/in 1wk before Sx onset

Ceftriaxone 250mg IM x 1or
Rifampin 500mg PO bid x 4
Cipro 500mg PO x 1

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40
Q

What is the criteria for close contact of N Meningitidis

What meds are used for post-exposure prophylaxis

A

> 8hrs of contact
<3ft away
Direct PO secretion exposure
W/in 1wk before Sx onset

Ceftriaxone 250mg IM x 1or
Rifampin 500mg PO bid x 4
Cipro 500mg PO x 1

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41
Q

What are the 5 types of fungal infections that can cause meningitis

What are the two ‘special’ causes

A 
C neoformans
C immitis
B dermatidis
Candidiasis
H capsulatum

TB Syphilis

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42
Q

What are the 3 proteinaceous infections?

What is an odd method of acquiring prion related Dzs

A

Kuru Jakob Bovine spongiform

Inherited

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43
Q

When do prion dzs present

How are these dzs Dx

A

6-7th decade as progressive dementia

MRI- bilateral areas of increased density
CSF- inc protein

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44
Q

What is the MC microbe in cat bites?

What is the MC microbe in dog bites?

A

Pasturella multocida

Capnocytophaga conimorsus

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45
Q

What microbe causes CSDz

This microbe is the MC cause of ? in Peds

It is also the MC cause of ? Sx

A

Bortonella henselae in fleas

Chronic adenopathy

Regional adenopathy

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46
Q

What is the classic presentation of CSDz

What nodes are most likely to present w/ lymphadenitis

Half of PTs can present w/ ? odd presentation

A

Rash
Lymphadenitis

Axillary
Cervical submandibular preauricular

Single node involvement

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47
Q

Atypical presentations of CSDz can present as ?

CSDz manifestations may be slow to appear and take ? long to disappear

A

Encephalitits

+12mon

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48
Q

How is CSDz Dx confirmed

How is it Tx

A

Serology

Sx therapy
Azithromycin

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49
Q

What causes Toxoplasmosis

How is this infection transported and disseminated

A

Toxoplasma gondii

Transport- lymphatics
Disseminated- hematogenously

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50
Q

How does Toxoplasmosis kill AIDS PTs

What does it present like in healthy PTs?

What is the MC congenital presentation

A

Encephalitis- MC manifestation

Mono-like

Chorioretinitis

51
Q

How is Toxoplasmosis Dx

What are the four atypical mycobacteriums

A

Organisms in any fluid/tissue
CT if cerebral
Amniocentesis 20-24wks if congenital

Marinum
Ulcerans
Leprae
Chelonae

52
Q

M Marinum rarely causes systemic infections except for in ? PTs

If deeper involvement occurs, how can this present?

A

ImmComp

Tenosynovitis
Septic arthrits

53
Q

How is M Marinum Dx

PTs w/ this can have what issue during PHA?

A

Culture 25-32C/77-89.6F
Photochromogenic- white in darkness, yellow in light

False Pos on PPD

54
Q

How is M Marinum Tx

M Ulcerans is AKA ? Ulcer and is found where?

A

Clarithromycin/Rifampin + Ethambutol x 6mon

Buruli from Africa/Australia

55
Q

M Ulcerans is the MC ?

How is it Dx

How is it Tx

A

3rd MC mycobacteriosis of humans after TB and Leprosy

Acid fast smear
PCR

Rifampicin and Clarithromycin/Moxifloxacin x 8wks w/ debrisment/grafts

56
Q

M Leprae is AKA ? Dz

How is this transmitted

A

Leprosy, Hansen Dz

Respiratory from foot pads of armadillos

57
Q

How will PTs w/ M Leprae present

What finding is highly suggestive of this Dx

A

Ulcer w/ dec sharp/dull sensation

Ulnar neuropathy

58
Q

How is M Leprae Dx

How is it Tx

A

Skin biopsy/Nasal scrapings- acid fast bacilli

Rifampin Dapsone and Clofazimine x 12mon

59
Q

M Chelonae is associated w/ ? animals?

This infection is associated w/ ? hobby?

A

Frogs/Turtles

Tattoos

60
Q

How does M Chelonae present

How is this Tx

A

Plaques Erythema Violaceous Edema

Tobracycin or Clarithromycin x4-6mon if deep

61
Q

What is the MC zoonosis in the world?

This is now considered a ? in travelers

How is this infection acquired?

A

Spirochetes of Leptosporosis

Emerging disease

Contact/exposure to infected soil/water/animal

62
Q

What are the two syndromes from a Leptospirosis infection

The type of infection a PT will develop depends on ?

A

Anicteric lepto- mild flu-like
Icteric- Weil Dz, organ failure

Serovar involvement

63
Q

What are the classic findings of Weil Dz (Leptospirosis)

How are Leptospirosis infections Dx

How is the extent of organ involvement assessed?

A

Calf/Lumbar muscle pain

Isolation from tissue/fluid, typically urine

CBC
Liver panel
Coag studies

64
Q

How are in/out PT Leptospirosis infections Tx

Define Protozoa

A

In- IV PCN G
Out- PO Doxy

Motile, unicellular, eukaryote

65
Q

What are the 7 types of Protozoa infections

A

Giardiasis Crypto Toxo Malaria

Lesihmaniasis Amebiasis Babesiosis

66
Q

What causes Amebiasis

What can this cause to develop within the body?

What effect does the microbe have on tissues?

A

Entamoeba Histolytica

Liver abscess, M>F

Induces self destruction
Trophozoites colonize in colon

67
Q

Amebiasis can present w/ ?

How does liver abscess present differently than a single abscess

If PT is Dx w/ Amebiasis, what will they probably have in their MedHx

A

Amebic colitis
Fistulas, rectovaginal

Liver- pain, no fever
Single- weight loss

Dysentery

68
Q

How does Amebic Colitis present

How does Amebic Liver abscess present

A

Heme +stool
Fever
Weight loss
Diffuse abdominal tenderness

Hepatomegaly
Jaundice
Fever
Weigh loss
RUQ tenderness
69
Q

How is Amebiasis Dx

How does this look on US

How does it look on CT

A

EPP PCR

Homogenous hypoechoic round lesion

Round low attenuation lesion w/ enhanced rim

70
Q

How is Amebiasis Tx

A

Tissue Tx: Metronidazole
Tinidazole
Lumen Tx: Iodoquinol Paromomycin

Surgery for fulminant amebic colitis

71
Q

What is the MC parasite identified in stool specimens

Why/how does this cause malabsorption

How is it Dx and Tx

A

G Lamblia

Alters epithelial function
Causes villous atrophy
Cytopathic secretion

EPP PCR
Tinidazole
Metronidazole

72
Q

What are the two sub-acute infections of cutaneous leishmaniasis

What is the carrier of Leishmanisis

A

Leishmaniasis recidivans- prolonged relapsing form
Post kala azal dermal Leishmaniasis

Lutzomyia longipalpis- Sand flies

73
Q

How does cutaneous Leishmaniasis present

What is the Wet Pizza
What is the Dry

A

Raised edge, central crater w/ regional lymphadenopathy

Wet- L Major
Dry- L Tropica

74
Q

Visceral Leishmaniasis is AKA ? and can present w/ ? rash

Where does it infect in the body?

A

Kala azar or Black Fever
Malar

Liver Spleen Marrow
Spleen bigger than liver

75
Q

What PE finding is characteristic of Visceral Leishmanisis?

What is a common lab result?

A

Darkening of skin

Pancytopenia

76
Q

How is Leishmanisis Ds

What are the criterias for Mild Leishmanisis

A

Tissue isolation, Giemsa stain

< 4 lesions
None >5cm
None on sensitive areas
No joint involvement

77
Q

How is mild Leishmanisis Tx

How are other cases Tx

A

Paromomycin
Liquid N2

Impavido- Txs all forms
Fluconazole- cutaneous
Amphotericin B
ThermoMed radio frequency heat

78
Q

What are two rare PE findings during a Crypto infection?

How is it Dx

How is it Tx

A

Icterus
Ascites

EPP PCR

Nitazoxanide
ImmComp- HARRT therapy

79
Q

What causes Babesiosis

It’s transmitted by ? and produces a ?

What type of microbe is this

A

B microti- US
B divergens- Europe

Tick vectors, malaria-like illness

Intraerythrocytic protozoan

80
Q

Babeiosis Sxs are due to ?

What are the presenting Sxs

A

Secondary to RBC parasitims

Paroxysmal malaria
Fatigue- depends on hemolytic anemia

81
Q

? PT population has a worse prognosis if they contract Babesiosis

How can it be transmitted between humans?

A

Asplenic

In utero
Blood transfusion

82
Q

How is Babesiosis Dx

What lab finding is pathognomonic

How is it Tx

A

Wright/Geimsa stain

Maltese cross
IgM IFA titer 1:64

Atovaquone + Azith
Clinda + Quinine- if severe
Exchange transfusion

83
Q

What causes malaria?

Define Archaic

Majority of malaria deaths are due to ? strain

A

Plasmodium, carried by Anopheles

Bad/foul air, miasma

P Falciparum

84
Q

Of the 156 types of malaria, which ones infect humans

A

P falciparum
P vivax
P ovale
P malariae

P knowlesi- Simian malaria; recently found in SE Asia

85
Q

What are the 4 factors that determine malaria occurrence

Which strain is most wide spread

Which one is primarily in tropical west Africa?

Where are the two remaining found?

A

Climate- >77*, <6Kft
Human
Anopheles
Parasite

Vivax

Ovale

Falci/Malaria- sub/tropics

86
Q

What form of malaria resides during the liver phase?

What occurs during the erythrocyte phase?

A

Sporozoites

Rupture of infected RBCs= fever/merozoite release

87
Q

What forms of malaria have a hypnozoite form that lingers for months?

Why are these two commonly seen reoccurring later?

A

Vivax, Ovale

Failure to Tx hypozoites

88
Q

What are the incubation periods for the different strains of malaria

Which one doesn’t have a hypnozoite stage which means this one will cause ?

A

Falciparum 12d
Vivax 14d
Ovale 17d
Malariae 28d

Malariae, prolonged erythrocytic infection

89
Q

How long are the paroxysms between the different types of malaria

What is the sequence of a malaria febrile attack

Why are these sequences important

A

48hrs: Falci Vivax Ovale
72hrs: Malariae

Cold x 15-60min
Hot x 2-6hrs- HA
Sweat x 2-4hrs

Blood draw during fever spike, highest parasite load

90
Q

Why is M Facliparum so bad?

A

Microvascular sequestriation Dz

Hyperparasitemia >250K/5%

Targets all RBCs while other strains target reticulocytes

Dec Hgb/Hct x 8-10% in 48hrs

91
Q

What are 4 severe manifestations of malaria

What forms can cause splenic rupture in pregnant PTs

A

Cerebral malaria
Severe anemia- Falciparum
Renal failure- Malariae
Pulmonary edema

Vivax/Ovale

92
Q

What lab result is absent in malaria infections

What lab results indicate a poor prognosis

A

Eosinophilia

Cr >3mg
Acidosis <15mm
Jaundice, total bili >2.5
Lactate >5mm
Glucose <40
Aminotransferase 3x inc
93
Q

What hematological features of malaria indicate poor prognosis

How is malaria Dx

A

Parasitemia
5% or more neutrophils w/ malaria pigment

Thin and Thick smears 12-24hrs apart

94
Q

What is the different benefits of thick/thin smears when Dx malaria

What is the alternate Dx form for malaria

A

Thick- sensitive
Thin- speciation

Dipstick- LDH of Falciparum
BinaxNOW for Falciparum, Vivax but neg reads must be confirmed w/ thick/thins

95
Q

BinaxNOW rapid malaria tests have hard time maxing Dx if strain of malaria has low amounts of ? Ag

Why are malaria prevention methods not adhered to by PTs

A

HRP2

GI s/e
Forget
Low perception of risk

96
Q

What meds are used pre/post-return from malaria country

A

Doxy- s/e sun burns

Atovaquone/proguanil- 7d post

Primaquine- 14d post/terminal

Chloroquine- CNS side effects

Tafenoquine

97
Q

What drug is used for malaria PART

What drugs are used for eradicating Vivax/Ovale liver stages?

What drug is used if these lead to relapse?

A

Primquine for P Vivax relapse

Primaquine phosphate

Tafenoquine

98
Q

What drugs are used as uncomplicated malaria Tx if it’s chloroquine sensitive

What drugs are used if it’s chloroquine resistant

A

Aralen- chloroquine phosphate

Quinin sulfate + Doxy

Malarone- atovaquone proguanil

Coartem- artethemere lumefantreine

99
Q

What drugs are used for Tx of P Falciparum

What monitoring is done while Tx malaria

What monitoring result indicates Tx isn’t working

A

IV Artesunate

Smears q6-12hrs

Load doesn’t fall x 75% in 48hrs,
Blood not parasite clear in 7 days

100
Q

What medication is avoided in Tx of certain malaria

What strain is more likely to reinfect?

What strain is more likely to have low level infection?

A

Steroids, worsen cerebral malaria

Falciparum

Malariae

101
Q

Two times you’ll see eosinophilia in lab results

What are the Cestodes

A

Allergies
Helminth infections

Tapeworms:
Hymenolepiasis
Solium
Saginata
Latum
102
Q

? is the MC of all cestode infections?

What is another form but less frequent

A

H Nana

H Diminuta

103
Q

How are Hymenolepiasis infections acquired?

Where does it reside in the body

What are two rare PE findings

A

F/o

Villus

Abdominal tenderness
Urticaria

104
Q

? form of Taeniasis is less frequently Sx

What is the most striking feature and main Sx

Migrating Taeniasis can cause ?

A

T solium

Passing of proglottids

Appendicitis
Cholangitis

105
Q

PE findings more common in kids/adults who have Taeniasis infections

Where is Cysticercosis seen in US?

A

Weight loss- kids
Subcutaneous nodule- adults

SoCal, 10% of seizures

106
Q

Asplenic PTs are more vulnerable to what 2 infections?

PT presents w/ subcutaneous nodules, what Dx needs to be r/o?

A

N Meningitidis
Capnocytophaga canimorsus

Cysticercosis

107
Q

What 4 microbes can cause anemia like issues

A

Babesiosis- hemolytic
D Latum- Megaloblastic
Hookworm- IDA
M Falciparum

108
Q

CSF findings

A

O W G P
B: U PMN D U
V/AM: N U N N
TB/C: U U D U

109
Q

Cestodes includes ? and how are they Tx

A 
Tapeworms
Hymenolepsis
T Solium/ Saginata
D Latum
Praziquantel

Cystic- DOC

110
Q

Trematodes includes ? and how are they Tx

A

Schistosomiasis- HJM
P Westernmani
Praziquantel

F Hepatica- Triclabendazole

111
Q

Trematodes are hermaphrodites except for ?

Acute Schistosomiasis is AKA ?

Etiology is believed to be due to ?

A

Schistosomas

Katayama Fever- Mansoni/Japon

Serum sickness reaction

112
Q

What microbes are Dx w/ Giemsa stain

Best way to Dx S haematobium

A

Babesiosis
Rickettsia
Leishmaniasis

Urine sample between Noon-3pm

113
Q

Where does F hepatica mature in the body

How do human get this infection?

A

Bile duct

Consumption of raw watercress

114
Q

What do the acute/chronic phases of F hepatica represent?

This has been linked to causing ? in Vietnam vets

A

Acute- migratory
Chronic- obstruction/tumor Sxs

Colangiocarcinoma

115
Q

What is the MC species of the ten Paragonimus’ that infect humans?

What is unique about this microbe life cycle?

A

P Westermani

Unembryonated eggs leave human
Reacquired through consumption of crayfish/crabs

116
Q

What are the nematodes and how are they Tx

A

Helminths:
Strongyloides
CLM
Ivermectin/Albendazole

Hookworm
Acariasis
Toxocariasis
Enterobiasis
Trichisellosis
Mebendazole/Albendazole
117
Q

What is the MC helminthe in the world?

What is the MC helminthe in the US?

A

Ascariasis

Pinworm- E Vermicularis

118
Q

What two nematodes can cause Loefflers Syndrome

What is the 2nd MC nematode in the world and what are the two types?

A

Strongyloidiasis
Ascariasis

Hookworm: Duodenal/Americanus

119
Q

What is the largest intestinal nematode?

? is AKA Human Pinworm

How is it Tx

A

Ascaria lumbricoides

Enterobius vermicularis

Mebendazole

120
Q

What is are two rare but possible consequences of Enterobiasis vermicularis infections in females?

What is the MC tropically acquired dermatosis?

A

Appendicitis
Chronic salpingitis

CLM- Ancylostoma caninum

121
Q

What causes Toxocariasis

This can cause what two issues?

A

T canis- dog roundworm
T cati- cat roundworm

Visceral larva migrans
Ocular larva migrans

122
Q

Toxocariasis OLM can be mis-Dx as ?

How would you differentiate between this mis-Dx and a helminthe infection?

A

Retinoblastoma (leukoria)

OLM has hypereosinophilia

123
Q

How are Trichinellosis infections acquired

What are the 4 types and origins

A

Consumption carnivore meat

Pseudospiralis- mammal/bird
Nativa- arctic bears
Nelsoni- African predators
Britovi- Europe/Asia carnivores

124
Q

How do Trichinellosis infections present?

What are 3 life threatening manifestations that can occur?

What is added on top of Mebendazole/Albendazole Txs?

A

Facial edema
Fever
Splinter hemorrhage

Myocarditis
Encephal/meningitis
Pneumonia

Steroids

IPAP (212 decks)

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